RESTORATIVE THERAPEUTIC SERVICES (NPI# 1750714382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750714382 |
| Entity Type | Organization |
| Organization Name | RESTORATIVE THERAPEUTIC SERVICES |
| Practice Address |
12020 Sunrise Valley Dr Ste 100 Reston VA 20191-3429 |
| Practice Telephone | 7038847517 |
| Mailing Telephone | 7038847517 |
| Enumeration Date | 2013-08-19 |
| Last Update Date | 2016-09-28 |
| Authorized Official Name | ANTHONIA LEVY (MANAGING DIRECTOR) |
| Authorized Official Telephone | 7038847517 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | LC4739 | MD | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CARE FIRST | AK37 | 01 | |
| MD | 0591041 00 | 05 |
| Street Address |
12020 SUNRISE VALLEY DR STE 100 |
| City | RESTON |
| State | VA |
| Zip Code | 20191-3429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215352554 | Kiniya Chantera Church | Nurse Practitioner | 12020 Sunrise Valley Dr Ste 100, Reston, VA 20191-3429 | 2014-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275150518 | Grace Andales Soistman | Nurse Practitioner | 11160 South Lakes Dr. Reston, Va 20191, Reston, VA 20191 | 2020-07-02 |
| 1790317709 | Twenty Four/7 LLC | Private Vehicle | 11922 Winterthur Ln, 103, Reston, VA 20191 | 2020-02-07 |
| 1437626058 | Aramesh Darvishian Dds Pllc | Dentist | 12040 South Lakes Dr. Suite 200, Reston, VA 20191 | 2018-11-01 |
| 1992282693 | Ashkan Ghods | Home Health | 11760 Sunrise Valley Dr, #405, Reston, VA 20191 | 2018-07-25 |
| 1104319698 | Capital Critical Care & Informatics PC | Internal Medicine | 11890 Sunrise Valley Dr # 442, Reston, VA 20191 | 2018-06-11 |
| 1063930683 | Mackenzie Marie Evans | Specialist/Technologist | 2380 Branleigh Park Ct, Reston, VA 20191 | 2017-09-04 |
| 1073910345 | Jane L Mahan-wiegand | Dietitian, Registered | 1900 Campus Commons Drive, Suite 100, Reston, VA 20191 | 2014-12-02 |
| 1700214293 | Sonny Sunghun Kim | Dentist | 11876 Sunrise Valley Drive, 101, Reston, VA 20191 | 2013-10-22 |
| 1982036786 | Stephanie Lourdes Miller | Physician Assistant | 12040 South Lakes Drive, Suite 207, Generations Family Practice, Reston, VA 20191 | 2013-08-02 |
| 1316250988 | Thao Ngoc Vuong | Pharmacist | 1898 Winterport Cluster, Reston, VA 20191 | 2010-07-23 |
| Find all providers in zip 20191 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306354386 | Mary Rhea Silva | Counselor | 11260 Roger Bacon Dr Ste 206, Reston, VA 20190-5252 | 2018-01-12 |
| 1457757171 | Owusu Afiriyie | Counselor | 2023 Golf Course Dr, Reston, VA 20191-3837 | 2014-11-06 |
| 1245353754 | Nancy J Ashley | Counselor | 11717 Bowman Green Dr, Reston, VA 20190-3501 | 2007-04-09 |
| 1760751861 | Jacob Parks | Counselor | 11335 Sunset Hills Rd, Reston, VA 20190-5205 | 2011-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790229 | Candice Cornelio | Counselor | 1904 Tolbert Ter Apt 202, Chester, VA 23836-2824 | 2020-11-03 |
| 1306443619 | Helianthus Therapy Services, LLC | Counselor | 767 Madison Rd Ste 112-114, Culpeper, VA 22701-3379 | 2020-10-08 |
| 1477160471 | Sarah Chun | Counselor | 950 N Washington St # 322, Alexandria, VA 22314-1534 | 2020-09-24 |
| 1659983484 | A. Lawrence Christian Counseling LLC | Counselor | 8213 Sudley Rd Ste 202, Manassas, VA 20109-3507 | 2020-08-22 |
| 1578173993 | Marjorie Denise Handy | Counselor | 108 Joyce Rd, Bassett, VA 24055-6102 | 2020-08-01 |
| 1073122719 | David Wooden | Counselor | 4201 Wilson Blvd # 300, Arlington, VA 22203-4417 | 2020-07-29 |
| 1376152678 | Gwendolyn Maurice | Counselor | 739 Cherry Hill Rd, Heathsville, VA 22473-2648 | 2020-07-23 |
| 1922624154 | Cedric Wilson | Counselor | 2616 Stonegate Dr, Winchester, VA 22601-3482 | 2020-06-23 |
| 1154946291 | Chloe Fulcher Morrissett | Counselor | 8389 Reagan Dr, King George, VA 22485-7149 | 2020-06-15 |
| 1184248130 | Thomas Lafayette Bateman IIi | Counselor | 11025 Greenline Ct, Mechanicsville, VA 23116-5855 | 2020-06-05 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.